Opthalmic Plastic, Reconstructive, and Aesthetic Surgery

Tearing Problems/Lacrimol System Problems | Lisa A. Mansueto, M.D.

  1. Etiologies
    1. Ocular irritation – dry eye syndrome, inflamed pterygium, corneal foreign body, trichiasis
    2. Ectropion/Entropion – eyelid malposition
    3. Lacrimal System Blockage – puncta, canaliculus, or nasolacrimal duct
      1. Punctal Stenosis – long term glaucoma medications, chemical burns, iatrogenic
      2. Canalicular Stenosis – chemotherapy, trauma, glaucoma medications, herpes simplex
      3. Nasolacrimal Duct Stenosis – in children, congenital imperforate Valve of Hasner; in adults, trauma, chronic infections, chronic inflammation, unknown etiology
      4. Traumatic injury to face, eyelid, or nose damaging tear drain system
      5. Nasal Pathology – tumors, trauma, sinus surgery, and allergic rhinitis can cause tearing problems